Clinical, radiological, immunological and pathological findings in inflammatory CNS demyelination-possible markers for an antibody-mediated process

Author:

Brück Wolfgang1,Neubert Katrin2,Berger Thomas3,Weber Joerg R2

Affiliation:

1. Department of Neuropathology, Charité, Humboldt-Universität, Berlin, Germany

2. Department of Neurology, Charité, Humboldt-Universität, Berlin, Germany

3. Department of Neurology, University of Innsbruck, Austria

Abstract

The present report describes immunopathological, radiologcal and serological characteristics of antibody-mediated demyelination in a multiple sclerosis (MS) case with the main findings: (1) immunoglobulin and complement deposits in areas of active demyelination accompanied by massive macrophage activation; (2) ring-enhancing lesions in T1-weighted MRI after gadolinium application; (3) high titers of serum anti-myelin antibodies; and (4) signs of macrophage activation in the serum. Plasmapheresis may be a successful treatment for the type of inflammatory demyelination shown in the present case.

Publisher

SAGE Publications

Subject

Clinical Neurology,Neurology

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